Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Nicole Scala

Individual provider Physician Assistant · NPI 1104442979

Nicole Scala is a Physician Assistant in Babylon, New York. Qualified in 2020, 6 years ago. Practices with North Shore-Lij Medical PC, a 6,350-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
6
Licensed in
NY
In the registry since
2020

Practice location Address checks out

500 W Main St Ste 204
Babylon, NY 11702-3028
Phone: (516) 376-8649
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 462 1st Ave, New York, NY 10016-9196 — (212) 562-4141

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 025078 (NY)

Record details

NPI number1104442979
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 17, 2020
Last updated in NPPESJanuary 9, 2023
Certification dateJanuary 9, 2023
Mailing address500 W Main St Ste 204, Babylon, NY 11702-3028

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice North Shore-Lij Medical Pc — 6350 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Babylon